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NCT03558191

SHR-1210 in Recurrent/Metastatic Nasopharyngeal Carcinoma Who Have Received Previous At Least Two Lines of Chemotherapy.

Completed Phase 2 Results posted Last updated 15 March 2024
What this trial tests

Phase 2 trial testing SHR-1210 in Nasopharyngeal Carcinoma in 156 participants. Completed in 30 December 2021.

Timeline
14 August 2018
Primary endpoint
30 December 2021
30 December 2021

Quick facts

Lead sponsorJiangsu HengRui Medicine Co., Ltd.
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment156
Start date14 August 2018
Primary completion30 December 2021
Estimated completion30 December 2021
Sites1 location across China

Drugs / interventions tested

Conditions studied

Sponsor

Jiangsu HengRui Medicine Co., Ltd. — full company profile →

Who can join

Adults 18 to 75, any sex, with Nasopharyngeal Carcinoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Objective Response Rate (ORR) Assess by Independent Review Committee (IRC) Primary · Tumor assessments were conducted at every 8 weeks from the first dose until the end of treatment, withdrawal of consent, or death ,whichever was earlier, approximately 3 years.

Percentage of participants achieved partial response (PR) or complete response (CR) based on IRC assessment according to the RECIST (version 1.1) is presented for this endpoint. Both CR and PR must be confirmed by repeat assessments performed no less than 4 weeks (28 days) after the criteria for response are first met. Only tumor assessments performed on or before the start date of any further anti-cancer therapies are considered in the assessment of best overall response .

GroupValue95% CI
SHR-1210 Injection28.321.3 – 36.2
ORR Assess by Investigators Secondary · Tumor assessments were conducted at every 8 weeks from the first dose until the end of treatment, withdrawal of consent, or death (whichever was earlier), approximately 3 years.

Percentage of participants achieved partial response (PR) or complete response (CR) based on investigator assessment according to the RECIST (version 1.1) is presented for this endpoint. Both CR and PR must be confirmed by repeat assessments performed no less than 4 weeks (28 days) after the criteria for response are first met. Only tumor assessments performed on or before the start date of any further anti-cancer therapies are considered in the assessment of best overall response.

GroupValue95% CI
SHR-1210 Injection24.317.8 – 32.0
Duration of Response (DoR) Secondary · Tumor assessments were conducted at every 8 weeks from the first dose until the end of treatment, withdrawal of consent, or death (whichever was earlier), approximately 3 years.

DoR is defined, for participants with a CR or PR per RECIST version 1.1, as the time from the first documentation of objective tumor response to the first documentation of objective tumor progression or death, whichever occurs first.

GroupValue95% CI
SHR-1210 Injection20.313.0 – 30.5
Disease Control Rate (DCR) Secondary · Tumor assessments were conducted at every 8 weeks from the first dose until the end of treatment, withdrawal of consent, or death (whichever was earlier), approximately 3 years.

Percentage of participants achieving PR, CR or SD (SD ≥ 8 weeks) based on IRC assessment according to the RECIST version 1.1 is presented in this endpoint. DCR is a best overall response from the time of first dose to the documented objective progression or the subsequent anti-tumor therapy (whichever occurs first).

GroupValue95% CI
SHR-1210 Injection54.646.3 – 62.7
Progression-Free Survival (PFS) Secondary · Tumor assessments were conducted at every 8 weeks from the first dose until the end of treatment, withdrawal of consent, or death (whichever was earlier), approximately 3 years.

PFS is defined as the time from the first dose to the date of the first documentation of PD or death, whichever occurs first. PFS was based on investigator assessment according to the RECIST version 1.1. PFS time was summarized using the Kaplan-Meier method.

GroupValue95% CI
SHR-1210 Injection3.72.0 – 5.4
Overall Survival (OS) Secondary · Tumor assessments were conducted at every 8 weeks from the first dose until the end of treatment, withdrawal of consent, or death (whichever was earlier), approximately 3 years.

Overall Survival is defined as the time from the first dose to death due to any cause. OS time was measured using the Kaplan-Meier method.

GroupValue95% CI
SHR-1210 Injection18.715.2 – 20.1

Adverse events — posted to ClinicalTrials.gov

Time frame: AEs should be reported from the time the participant has taken at least 1 dose of study treatment through the participant's last visit (approximately 3 years).. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

SHR-1210 Injection
Serious: 37/156 (24%)
Deaths: 11/156

Serious adverse events (37 terms)

ReactionSystemSHR-1210 Injection
progressive diseaseGeneral disorders
epistaxisRespiratory, thoracic and mediastinal disorders
Reactive capillary hyperplasiaImmune system disorders
feverGeneral disorders
pulmonary inflammationRespiratory, thoracic and mediastinal disorders
respiratory failureRespiratory, thoracic and mediastinal disorders
infectious pneumoniaInfections and infestations
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
upper gastrointestinal hemorrhageGastrointestinal disorders
anemiaBlood and lymphatic system disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Immune-mediated lung diseaseRespiratory, thoracic and mediastinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
Pharyngeal ulcerRespiratory, thoracic and mediastinal disorders
Bronchial hemorrhageRespiratory, thoracic and mediastinal disorders
DeathGeneral disorders
Chest DiscomfortGeneral disorders
SinusitisInfections and infestations
Bacterial pneumoniaInfections and infestations
BronchitisInfections and infestations
elevated GGTInvestigations
elevated blood bilirubinInvestigations
Increased creatine phosphokinaseInvestigations
Other adverse events (53 terms — click to expand)

ReactionSystemSHR-1210 Injection
Reactive capillary endothelial proliferationImmune system disorders
AnaemiaBlood and lymphatic system disorders
CoughRespiratory, thoracic and mediastinal disorders
Aspartate aminotransferase increasedInvestigations
HypothyroidismEndocrine disorders
PyrexiaGeneral disorders
White blood cell count decreasedInvestigations
AstheniaGeneral disorders
HypoalbuminaemiaMetabolism and nutrition disorders
Alanine aminotransferase increasedInvestigations
ConstipationGastrointestinal disorders
PruritusSkin and subcutaneous tissue disorders
Occult blood positiveInvestigations
Decreased appetiteMetabolism and nutrition disorders
Productive coughRespiratory, thoracic and mediastinal disorders
ProteinuriaRenal and urinary disorders
Blood thyroid stimulating hormone increasedInvestigations
Back painMusculoskeletal and connective tissue disorders
HyponatraemiaMetabolism and nutrition disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
HeadacheNervous system disorders
Gamma-glutamyltransferase increasedInvestigations
Neutrophil count decreasedInvestigations
HypokalaemiaMetabolism and nutrition disorders
Chest discomfortGeneral disorders
Chest painGeneral disorders
Blood creatinine increasedInvestigations
Urinary occult blood positiveInvestigations
HypoaesthesiaNervous system disorders
Upper respiratory tract infectionInfections and infestations
Thyroxine free decreasedInvestigations
DizzinessNervous system disorders
HaemoptysisRespiratory, thoracic and mediastinal disorders
RashSkin and subcutaneous tissue disorders
VomitingGastrointestinal disorders
Weight decreasedInvestigations
DiarrhoeaGastrointestinal disorders
Blood alkaline phosphatase increasedInvestigations
Platelet count decreasedInvestigations
HyperuricaemiaMetabolism and nutrition disorders

Most-reported serious reactions: progressive disease, epistaxis, Reactive capillary hyperplasia, fever, pulmonary inflammation, respiratory failure, infectious pneumonia, Alanine aminotransferase increased.

Data from ClinicalTrials.gov NCT03558191 adverse events section.

Sponsor's own description

This is an open label, single-arm, multi-center, phase 2 Study of SHR-1210 in recurrent/metastatic nasopharyngeal carcinoma(R/M NPC) patients who have received previous at least two lines of chemotherapy.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Immunotherapy for nasopharyngeal carcinoma: Current status and prospects (Review).
    Huang H, Yao Y, Deng X, Huang Z, et al · · 2023 · cited 78× · PMID 37417358 · DOI 10.3892/ijo.2023.5545
  2. Efficacy, safety, and biomarker analysis of Camrelizumab in Previously Treated Recurrent or Metastatic Nasopharyngeal Carcinoma (CAPTAIN study).
    Yang Y, Zhou T, Chen X, Li J, et al · · 2021 · cited 72× · PMID 34933967 · DOI 10.1136/jitc-2021-003790
  3. Current status and advances of immunotherapy in nasopharyngeal carcinoma.
    Xu JY, Wei XL, Wang YQ, Wang FH. · · 2022 · cited 62× · PMID 35547095 · DOI 10.1177/17588359221096214
  4. Nasopharyngeal Carcinoma and Its Microenvironment: Past, Current, and Future Perspectives.
    Su ZY, Siak PY, Leong CO, Cheah SC. · · 2022 · cited 32× · PMID 35311066 · DOI 10.3389/fonc.2022.840467
  5. Revealing the crosstalk between nasopharyngeal carcinoma and immune cells in the tumor microenvironment.
    Jiang J, Ying H. · · 2022 · cited 29× · PMID 35964134 · DOI 10.1186/s13046-022-02457-4
  6. Camrelizumab-Related Myocarditis and Myositis With Myasthenia Gravis: A Case Report and Literature Review.
    Bai J, Li D, Yang P, Xu K, et al · · 2021 · cited 13× · PMID 35047395 · DOI 10.3389/fonc.2021.778185
  7. Predictive and prognostic role of early apolipoprotein A-I alteration in recurrent or metastatic nasopharyngeal carcinoma patients treated with anti-PD-1 therapy.
    Xiao BJ, Sima XX, Chen G, Gulizeba H, et al · · 2023 · cited 6× · PMID 37409613 · DOI 10.1002/cam4.6321
  8. Immune checkpoint inhibitors for the treatment of solid tumors and lymphoma in the past 26 years (2000-2025).
    Huang L, Zhu H, Shi Y. · · 2025 · cited 3× · PMID 41310835 · DOI 10.1186/s13045-025-01734-x

Verify or expand the search:

Other trials of SHR-1210

Trials testing the same drug.

Other recruiting trials for Nasopharyngeal Carcinoma

Currently open trials in the same condition.

Other Jiangsu HengRui Medicine Co., Ltd. trials

Trials by the same sponsor.

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